Comparison of application of three dimensional microscope and optical microscope in oral and maxillofacial vascular anastomosis

Objective To investigate the application value of 3D microscope in vascular anastomosis in oral and maxillofacial surgery, to provide a reference for clinicians. Methods Eighty-seven cases of free flap reconstruction in oral and maxillofacial surgery were retrospectively included, including 30 cases...

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Main Authors: REN Xiaoyan, NAN Xinrong, YAN Xingquan
Format: Article
Language:zho
Published: Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases 2023-06-01
Series:口腔疾病防治
Subjects:
Online Access:http://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2023.06.005
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author REN Xiaoyan
NAN Xinrong
YAN Xingquan
author_facet REN Xiaoyan
NAN Xinrong
YAN Xingquan
author_sort REN Xiaoyan
collection DOAJ
description Objective To investigate the application value of 3D microscope in vascular anastomosis in oral and maxillofacial surgery, to provide a reference for clinicians. Methods Eighty-seven cases of free flap reconstruction in oral and maxillofacial surgery were retrospectively included, including 30 cases in the 3D microscope group and 57 cases in the optical microscope group. The differences in intraoperative vascular anastomosis time, postoperative flap survival rate and doctor evaluation scores between the 3D microscope group and the optical microscope group were compared and statistically analyzed, and the feasibility of using three-dimensional microscope in surgery was evaluated. Results The arterial anastomosis time was (26.53±3.83) min/root in the 3D microscope group and (24.88 ± 2.97) min/root in the optical microscope group, and the difference was statistically significant (P<0.05). The venous anastomosis time was (30.68 ± 3.51) min/root in the three-dimensional microscope group and (28.70 ± 2.91) min/root in the optical microscope group, and the difference was statistically significant (P<0.05). There was no significant difference in the survival rate of flaps between the 3D microscope group (n = 28, 93.33%) and the optical microscope group (n = 53, 92.98%) (P>0.05). The doctor's evaluation scores of visual fatigue, training and learning, operative difficulty index, image sharing in the three-dimensional microscope group were higher than those in the optical microscope group, and the differences were statistically significant (P<0.05). Conclusion 3D microscope has good reliability and safety in surgery, a strong sense of three-dimensionality, and the convenience of teaching and training. It can be well applied to vascular anastomosis in oral and maxillofacial surgery.
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spelling doaj.art-5e174bc8babf452d9e45e850a2b8162a2023-03-01T06:28:50ZzhoEditorial Department of Journal of Prevention and Treatment for Stomatological Diseases口腔疾病防治2096-14562023-06-0131641441910.12016/j.issn.2096⁃1456.2023.06.005Comparison of application of three dimensional microscope and optical microscope in oral and maxillofacial vascular anastomosisREN Xiaoyan 0 NAN Xinrong1 YAN Xingquan2School of Stomatology, Shanxi Medical University1.School of Stomatology, Shanxi Medical University 2.Department of Oral and Maxillofacial, Shanxi Medical University and the First HospitalDepartment of Oral and Maxillofacial, Shanxi Medical University and the First HospitalObjective To investigate the application value of 3D microscope in vascular anastomosis in oral and maxillofacial surgery, to provide a reference for clinicians. Methods Eighty-seven cases of free flap reconstruction in oral and maxillofacial surgery were retrospectively included, including 30 cases in the 3D microscope group and 57 cases in the optical microscope group. The differences in intraoperative vascular anastomosis time, postoperative flap survival rate and doctor evaluation scores between the 3D microscope group and the optical microscope group were compared and statistically analyzed, and the feasibility of using three-dimensional microscope in surgery was evaluated. Results The arterial anastomosis time was (26.53±3.83) min/root in the 3D microscope group and (24.88 ± 2.97) min/root in the optical microscope group, and the difference was statistically significant (P<0.05). The venous anastomosis time was (30.68 ± 3.51) min/root in the three-dimensional microscope group and (28.70 ± 2.91) min/root in the optical microscope group, and the difference was statistically significant (P<0.05). There was no significant difference in the survival rate of flaps between the 3D microscope group (n = 28, 93.33%) and the optical microscope group (n = 53, 92.98%) (P>0.05). The doctor's evaluation scores of visual fatigue, training and learning, operative difficulty index, image sharing in the three-dimensional microscope group were higher than those in the optical microscope group, and the differences were statistically significant (P<0.05). Conclusion 3D microscope has good reliability and safety in surgery, a strong sense of three-dimensionality, and the convenience of teaching and training. It can be well applied to vascular anastomosis in oral and maxillofacial surgery.http://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2023.06.0053d microscope ,optical microscope ,oral and maxillofacial surgery ,microsurgical ,vascular anastomosis ,free flap ,vascular crisis ,the flap survived,
spellingShingle REN Xiaoyan
NAN Xinrong
YAN Xingquan
Comparison of application of three dimensional microscope and optical microscope in oral and maxillofacial vascular anastomosis
口腔疾病防治
3d microscope ,
optical microscope ,
oral and maxillofacial surgery ,
microsurgical ,
vascular anastomosis ,
free flap ,
vascular crisis ,
the flap survived,
title Comparison of application of three dimensional microscope and optical microscope in oral and maxillofacial vascular anastomosis
title_full Comparison of application of three dimensional microscope and optical microscope in oral and maxillofacial vascular anastomosis
title_fullStr Comparison of application of three dimensional microscope and optical microscope in oral and maxillofacial vascular anastomosis
title_full_unstemmed Comparison of application of three dimensional microscope and optical microscope in oral and maxillofacial vascular anastomosis
title_short Comparison of application of three dimensional microscope and optical microscope in oral and maxillofacial vascular anastomosis
title_sort comparison of application of three dimensional microscope and optical microscope in oral and maxillofacial vascular anastomosis
topic 3d microscope ,
optical microscope ,
oral and maxillofacial surgery ,
microsurgical ,
vascular anastomosis ,
free flap ,
vascular crisis ,
the flap survived,
url http://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2023.06.005
work_keys_str_mv AT renxiaoyan comparisonofapplicationofthreedimensionalmicroscopeandopticalmicroscopeinoralandmaxillofacialvascularanastomosis
AT nanxinrong comparisonofapplicationofthreedimensionalmicroscopeandopticalmicroscopeinoralandmaxillofacialvascularanastomosis
AT yanxingquan comparisonofapplicationofthreedimensionalmicroscopeandopticalmicroscopeinoralandmaxillofacialvascularanastomosis